Hello: I have been injecting testosterone cypionate 100 mg/1 mL per week for a long time and still have trouble with arousal, libido, and sometimes maintaining an erection. It seems to be primarily a libido issue to me, which I thought testosterone would help. My recent test levels reflect low values, at least in my book. Here they are:

I've asked to increase the dosage to 200 mg/mL per week but have not heard back from doctor. I have requested that my estradiol be tested, but they won't do it. I don't think it is an issue, but who knows for sure? Has anyone else had this same problem and did it resolve with a higher dose?

Hello: I have been injecting testosterone cypionate 100 mg/1 mL per week for a long time and still have trouble with arousal, libido, and sometimes maintaining an erection. It seems to be primarily a libido issue to me, which I thought testosterone would help. My recent test levels reflect low values, at least in my book. Here they are:

I've asked to increase the dosage to 200 mg/mL per week but have not heard back from doctor. I have requested that my estradiol be tested, but they won't do it. I don't think it is an issue, but who knows for sure? Has anyone else had this same problem and did it resolve with a higher dose?

Thank you for any feedback you can offer.

Bob

Total testosterone of 334 is still very low, too low to be satisfactory for most men. You don't say how many ml are you injecting per week, or how many months or years you have been injecting. If you are injecting 1 ml per week, you are getting 100 mg per week which is a reasonable starting dose, but doesn't seem to raise your total T enough. You need to increase your dosage. You may need to break it into two shots per week to even out highs and lows on a higher dosage.

Down the road you may need to inject hcg to maintain fertility and keep the testes from shrinking, and you may need to add AI (arimidex etc.) to control E2 levels. Most important, though, is to get total T up, probably into the 600 to 800 range, to see if libido improves. Good luck and keep us posted. There are a lot of guys on this board with years of experience in this.

First your T levels are quite low......weekly injections are really not the answer. I would move up to maybe 160mg and break it into EOD or at least twice weekly. Might also consider doing it via sub-q vs IM.

As mentioned you should also consider HCG it will keep your testes alive plus it also helps with libido.

Keep an eye on estridol....if it gets to high it will kill libido and cause ED.

Total testosterone of 334 is still very low, too low to be satisfactory for most men. You don't say how many ml are you injecting per week, or how many months or years you have been injecting. If you are injecting 1 ml per week, you are getting 100 mg per week which is a reasonable starting dose, but doesn't seem to raise your total T enough. You need to increase your dosage. You may need to break it into two shots per week to even out highs and lows on a higher dosage.

Down the road you may need to inject hcg to maintain fertility and keep the testes from shrinking, and you may need to add AI (arimidex etc.) to control E2 levels. Most important, though, is to get total T up, probably into the 600 to 800 range, to see if libido improves. Good luck and keep us posted. There are a lot of guys on this board with years of experience in this.

Thank you, KayakGuy and boscot. I appreciate your feedback. I recently wrote a letter to my urologist asking to have my DHEA-S and ESTRADIOL tested along with total T, complete blood count and PSA. His nurse called to say they received the letter and my doctor will consider it when he returns from refresher courses in November. Your thoughts about estradiol possibly being high registers with me, plus simply that I may not be injecting ENOUGH T cypionate to raise my T up to where I will feel a libido increase. I pretty sure the doctor would not consider HCG, though I will mention it and mention also the fact that my testicles have shrunk consderably since I began T injections a few years ago. And the idea of injecting more often has made sense to me for months now, and I am going to do it starting this week. Thank you again for getting back to me. I appreciate it greatly.